Individual
BAHWANA PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 N ALEXANDER ST APT 707, CHARLOTTE, NC 28206-4173
(607) 624-5256
Mailing address
1015 N ALEXANDER ST APT 707, CHARLOTTE, NC 28206-4173
(607) 624-5256
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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